NPI: 1124411293 · LAVEEN, AZ 85339 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,004 | $471.50 |
| 2019 | 5,818 | $0.00 |
| 2020 | 1,394 | $142.53 |
| 2021 | 2,860 | $4K |
| 2022 | 1,809 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,008 | 1,921 | $2K | |
| D0120 | 1,761 | 1,681 | $811.52 | |
| D1206 | 2,313 | 2,201 | $714.08 | |
| D0230 | 3,975 | 1,393 | $412.40 | |
| D0220 | 1,603 | 1,486 | $380.89 | |
| D0272 | 620 | 572 | $224.08 | |
| D1351 | 127 | 31 | $84.00 | |
| D0210 | 59 | 55 | $47.00 | |
| D9230 | 242 | 224 | $33.48 | |
| D0150 | 327 | 309 | $28.00 | |
| D0330 | 73 | 67 | $0.00 | |
| D0274 | 124 | 116 | $0.00 | |
| D1110 | 82 | 75 | $0.00 | |
| D2391 | 26 | 15 | $0.00 | |
| D1330 | 2,404 | 2,222 | $0.00 | |
| D2392 | 141 | 74 | $0.00 |